Individual
LATERRICA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3149 TIMBER HOLLOW RD, KOUNTZE, TX 77625-9075
(409) 926-7519
Mailing address
3149 TIMBER HOLLOW RD, KOUNTZE, TX 77625-9075
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336040
TX
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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